Please give the phone number we are most likely to reach you.

Pet Information

If your pet is a mixed breed, please describe with the most dominant traits possible (Hound/Lab, Chihuahua/Dachshund, etc.)

Age

Sex

Male

Female

Neutered Male

Spayed Female

Color

Please describe the color of your pet, including any distinctive markings or patterns.

Last Weight (in lbs.) of your pet

Would you like us to Microchip your pet today?*

Microchipping allows for easier identification of your pet in the event your pet is lost.

Yes

No

I would like to discuss microchipping with a staff member

Has your pet eaten in the last 12 hours?*

Yes

No

I'm not sure

Does your pet have any known allergies to any medications or vaccines?*

Yes

No

I'm not sure

Please explain any known allergies:

We will be running a screening test today known as a pre-anesthetic profile (PAP) to assess kidney and liver function. The results of the PAP help us determine whether your pet is a good candidate for anesthesia. We will also be placing an IV Catheter. Catheters provide a route to administer medications and allow us to achieve appropriate levels of hydration during a procedure. This enables us to provide a higher level of safety during your pet's anesthetic episode. After surgical procedures, pets experience discomfort secondary to inflammation. We will prescribe an anti-inflammatory as an effective way to reduce this inflammation and promote healing. Prescription costs range from $15- $50.

Owner's Digital Signature*

Type your full name in the box below:

I am paying for today's services at time of pick up via:

Cash

Check

Credit Card

Today's Date*

Please verify the above information before clicking the Submit button.

If you have any questions, please call a Carolina Ranch Team Member at (919) 662-3200.